Service Request Form

Please fill out form and print out.

This can be either faxed to us or sent with item needing repair.


Shipping Address:

Name:     
Address1:
Address2:
City:        
State:       
Zip Code: -
Country:  


Billing Address:

Name:     
Address1:
Address2:
City:        
State:       
Zip Code: -
Country:  


Contact Name:

First:    Last:
Phone Number: - -   
Fax: - -
Purchase Order #:


X _______________________________

Credit Card Information:

VISA MasterCard
Number: - - -
Expiration Date:
Month: Year:
Name:

X _______________________________


Product:

Model Number:   
Description:
Serial Number:

Complaint:

Quote requested?
Yes No

Tactical Technologies Inc.
500 Pine St, Ste 3A     Holmes Corp. Ctr.
Holmes, PA 19043
PHONE: 610-522-0106     FAX:610-522-9430